HomeMy WebLinkAboutPermit Electrical 2010-4-29
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
EmaH: permilcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00185
Approval Code: 015610 4/29/2010 9:20 am
E.mailed To: burrellbros@integraonline.com
PLAN,REVIEW J
D New Construction
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IRl Addition/alteration/replacement
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[g] 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
I.e "i"fr/ JOB SITE INF,ORMATIONANb LOCATION3~\ '15'
Job Address: 1651 MAIN ST
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CityfStatelZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name:
Cross Street/directions to job site:
Tax map/parcel no.:
1703363104900
Rewire the entire house
\ " .SITE CONT,o;Cr -, "..~,c
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Name: ROQer Piper
Phone: 541-747-5526
Fax:
Email:
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,CONTRACTOR'
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Elec lie. no.: 20-442C
CCB lie. no.:
Business Name: BURRELL BROS ENTERPRISES INC
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Contact:
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Address: PO BOX 697
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CityfStatefZIP: WAL TERVILLE, OR
Phone: 5~ ~ 1
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974890697
EXPl~5~I7J
Em.;" bU~ I ;1:IN~ER THIS
Melmlio.'na:lMMENCED OR I
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Supervisil}gr~llIct~hflJl,J1 '
Supervising Electrician's Name:
JOSHUA J BURRELL
Number of inspections included in paid services:
Residential Sewice' 4
Reconnect Only: 1
All Other Services: 2
Upon review ant:! approval by your local jurisdiction, your permit will be e-malled or faxed
within one business day, with Instructions on howtoschedule your I flspectiofl.
NOTE: This Authortzation To Beglfl Work expires within 180 days If a permit Is not obtained.
The local building department may determine thai an Authorization To Begin Work Is null and
void If It doe5 flot meet applicable land use laW5 and localordinanceli.
Please check all that apply:
D A sewice or feeder beginning
at 400 Amps where the
available fault CUHef'lt exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
1,000 sq, ft. or less
Ei'ectricaI;PeriTI'it-Fees
Subtotal
State surcharge {12% of permit
total
Technoiogy fee (5% of permit total)
TOTAL PERMIT FEE
Oo-L/IO
c..IO-lfIO
D Hazardous locations
D A sewice or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yardS
o Floating buildings
o Commercial.use agricultural
buildings
o Installation ofa 150 KVAor
larger seperately derived sys
o "A", "E", or "1-2" or"I-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
$134.00
$16,08
$6.70
$156,78
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ATTENTION: Oregon law requires you.t.o
follow rules adopted by the Oregon Utility
Notification Center. Those rUhle~t~ :~=
In OAR 952-001-001 0 throug
0090 You may obtain caples of the rules b1
liin thecenter. (Note: the telellho~
nC:mb~r for the Oregon Utility NotlhcatiQl&
Cimter is 1_800-332-2344).
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Inspecti;'ns 'P~o~~': 541-726-3769
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This Authorization To Begin Wo.r~,:~,us~ be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00410
ISSUED: 04/02/2010
APPLIED: 04/02/2010
EXPIRES:' ]0/02/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1651 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363104900
'. . c, Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Service, two circuits, and complete re-wire for fire damage in APT. I - See CIO-380
for Fire Damage Reports
Owner: PIPER ROGER W & JANICE A
Address: 1150 S 58TH ST
SPRINGFIELD OR 97478
Phone Number: 541-741-7813
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
BURRELL BROS ENTERPRISES INC 136446
BUILDING INFORMATION ~
Expiration Date
08/20/2011
Phone
541-747-2724
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Ra.nge.:ryp~:
EnergYPath: .
.. "I,'
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport .
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA TION I
REQUIRED PARKING
Front yard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard S~~ack: If lHE \NOR\( % of Lot Coverage:
sOI~~e~\GII<s: SrlJI.\..\.. E')(I'IRE M\1 IS NOl . ATTENTION: Oregon law req~~e~X~ili~Y
~Ul\10RI7.ED UN IS Jl.BJl.NOONE.O UBLIC IMPROVEMENT tifjcation Center, Those rUle~:~e9~e2 ~01.
. ""c~w.>'O OR nOAR~-0~1:!l.010thrOugh 1- b
Stree\'fmprovemeotspE.RIOO.' 0090 f6'(l?r.tttd'Gl'tfl'l copies of the ru es Y
,,,,, 1 RO O{\'( " ... INnl~: the telephone
Storm Sewer Available: calh~lisl'\l\lr:i!Dl'tllntJtTty Notification
Special Instruction: number for the Oregon II )
Center is 1_800-332-2344 .
Total:
Handicapped:
Compact:
Notes:
Description
Type of Construction
I Valuation Description ~
~_l.~!_ ,
$ Per 8q:Ft::,; :1'" Square Footage
or multiplier '. or Bid Amount
Value
Date Calculated
Page I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
'- Total Amonnt Paid
Total Value of Project
L ~~es Paid ~
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Amount Paid 'i~ ,i
$11.16' :
$4.65 ,
$12.00
$81.00
$16.08
$6.70
$134.00
Date Paid
4/2/10
4/2/1 0
4/2/1 0
4/2/10
4/29/10
4/29/10
4/29/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00410,
ISSUED: 04/02/2010
APPLIED: 04/02/2010
EXPIRES: 10/0212010
VALUE:
Receipt Number
2201000000000000315
2201000000000000315
2201000000000000315
2201000000000000315
2201000000000000431
2201000000000000431
2201000000000000431
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
$265.59
I Plan Reviews ~
Rea'Ji~ed Insnections ~
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Rough Electric: Prior to Cover
Electric Service: Approval required prior to ntility company energizing service.
Final Electric: When all electrical work is complete. '
By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in.accordance with
the Ordinauces of the City of Spriugfield and the Laws of the State of .oregon pertaining to the work described herein, aud
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are 'requested at the proper time, that each address is readable from the
'street, that the permit card is located at the front,of,the prope'rty, 'and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
RECEIPT #:
2201000000000000431
Date: 04/29/2010
1I:30:15AM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
134.00
16.08
6.70
$156.78
Job/Journal Number
COM20 1 0-0041 0
COM20 1 0-0041 0
COM20 1 0-0041 0
Description
Residence Wiring 1000 Sq Ft
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE BURRELL Online
BROS
Payment Total:
$156.78
$156.78
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cReceintl
Page 1 of I
4/29/2010